REPORT IT

Campus Pride encourages students to #ReportIt when they witness or experience discrimination at their college or university. By completing the form, Campus Pride can gather data to improve our work, provide assistance to LGBTQ students who wish to file complaints with the Office for Civil Rights in the Department of Education.

Please share this form and encourage lesbian, gay, bisexual and transgender students and their peers to #ReportIt. It’s vital to remember that anyone who knows of a case of discrimination on their campus has the right to report.

HOW TO USE THIS FORM?

Campus Pride’s #ReportIt form is meant for any individual to report direct or indirect incidents for information sharing, data collection, or (if/when possible) response purposes.

Fill out your incident reporting form with as much detail as possible. Though reports may be filed anonymously, please be aware this may limit our ability to respond or follow up accordingly. Remember that this form is not a substitution for campus judicial processes, campus bias reporting procedures, police reports, etc.

What is the Office for Civil Rights?

The Office for Civil Rights enforces several federal civil rights laws that prohibit discrimination in programs or activities that receive federal financial assistance from the Department of Education. Their mission is to ensure equal access to education and to promote educational excellence through vigorous enforcement of civil rights in the nation’s schools. Find out further information.

What if I’m not certain my experience counts as discrimination?

Many LGBTQ students face obstacles every day at their college or university that may not qualify as criminal activity under the law. We call these bias incidents, acts of hate and hostility that are motivated by one’s race, religion, sexual identity, gender, gender identity/expression or other protected statuses.

If you believe you or a friend or family member has experienced or witnessed a bias incident, we still encourage you to fill out this form so that Campus Pride can provide guidance, clarity and support as well as gather statistical information useful in our work to advance LGBTQ rights on college campuses nationwide.

Is it really important to file a report with Campus Pride or with the Office for Civil Rights?

Yes! Though reporting can be intimidating, your information helps us to better understand the challenges LGBTQ students face at institutions so that we can continually improve our work to protect LGBTQ students. In additions, some campuses will not share or document bias incidents toward LGBTQ people and would rather lead people to believe that anti-LGBTQ bias or discrimination does not occur.

Tips for filing an OCR report:

A complaint must be filed within 180 days of when the incident of discrimination or harassment occurred.

Filling out the entire form, with as much detail as possible, will help your proceedings move quicker.

If you are a victim of harassment or discrimination, you have the right to report. If you witnessed an act of harassment or discrimination, you have the right to report. If you are a third party of the victim (friend, family member or faculty), you have the right to report.

Reports to the OCR are confidential and cannot be shared without your permission.

Your school and anyone employed by your school cannot retaliate against anyone who has reported or assisted in a Title IX investigation.

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REPORT IT: Bias, Discrimination & Hate Reporting Form

Campus Pride relies on students, faculty, staff, administrators, alums and community members to help us support individuals and document bias incidents, harassment and discrimination on campus. This form is meant for any individual to report, direct or indirect incidents for information sharing, data collection or (if/when possible) response purposes.
IMPORTANT: Reports may be anonymous; however, it may limit our ability to respond or follow up accordingly. The purpose of this form is for data collection and when possible we may reach out to the individuals and/or campuses. Campus Pride will NOT respond to all incidents. This form is not a substitution for campus judicial processes, campus bias reporting procedures, police reports, etc.

General Information

My College/University Affiliation Is:*

I am a:*

This report is for:*

Follow-Up Response*

Name

FirstLast

I would like my name to be:*

Please note that complete anonymity may limit the extent to which Campus Pride can respond to the incident.

I am:*

Phone

Please provide your phone number so Campus Pride may contact you if we have follow up questions about this report. Leave blank if you prefer to remain anonymous. Please note that complete anonymity may limit the extent to which Campus Pride can respond to the incident.

Email

Please provide your email address so Campus Pride may contact you if we have follow up questions about this report. Leave blank if you prefer to remain anonymous. Please note that complete anonymity may limit the extent to which Campus Pride can respond to the incident.

Preferred mode of contact:

Incident Report

Date of Incident*

Time of Incident

:HH

MM

Location of Incident*

Please specify the location of the incident, such as Campus/Business, Building, Address, City, State, Zipcode.

Nature of Incident:*

Please check all that apply

Race/Ethnicity

Religion

Gender/Gender Identity

Gender Expression

Sexual Orientation

Pregnancy

National Origin

Ancestry

Citizenship

Age

Marital Status

Veteran Status

Disability (physical or mental)

Medical Condition

Any other characteristic protected by institutional policy, state, or federal law

Incident Category:*

Please check all that apply.

Damage/Destruction of property

Email/Online harassment

Graffiti

Intimidation

Physical harassment/assault

Retaliation

Abuse of authority

Threat

Vandalism

Verbal harassment

Written harassment

Negative employment or academic action

Disability/Accessibility/Accommodation

Phone harassment

Other

Involved Parties:*

Please list the full names of all involved parties (if known), including yourself and any potential witnesses to the incident. If you have contact information such as phone or email, please share to the extent you feel appropriate doing so.

Describe the incident:*

Please provide as much detail as possible. Include anything you feel is relevant or helpful.

Supporting documentation:

Drop files here or

Please attach any videos, photos, emails or other documents of the incident below.

Who else, if anyone, has been notified of this incident?

Campus Pride encourages you to file this incident through your campus process or legal channels available to you.

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